Reimbursement

On July 10, 2012, two members of the Husch Blackwell Healthcare Group, Kate Mihalevich and Cori Turner, presented a webinar on ACO strategic physician alignment billing compliance.  The webinar:

  • highlighted compliance risks associated with ACOs and other physician alignment models; and
  • provided practical suggestions for evaluating and addressing risk in these areas.

To watch

On February 22, 2012, the Supreme Court in Douglas v. Independent Living Center of Southern California vacated and remanded to the Ninth Circuit a series of cases that challenge provider reimbursement cuts in California’s Medicaid program.  At issue in the case was whether providers and recipients had standing to sue state officials under the Supremacy

CMS has, in the past, expressed concern regarding the use of concierge medicine by physicians treating Medicare patients.  CMS has prosecuted some concierge care practices for charging concierge fees for “non-covered services” under Medicare.  Despite this opposition, patients and physicians have increasingly implemented concierge-like relationships, including amenities that provide unlimited access to physicians via email,